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Emergency
Neuro
Adrenaline 1:10,000
ml (0.1 ml/kg)
Lorazepam
mg (0.1 mg/kg)
Atropine 600mcg/ml
ml (20mcg/kg, min 100mcg)
Midazolam Buccal
mg (Dose banding)
Atropine 100mcg/ml
ml (20mcg/kg min 100mcg)
Phenytoin
mg (20 mg/kg over 20 minutes)
Sodium Bicarbonate 8.4%
ml (1 ml/kg)
Phenobarbitone
mg (20 mg/kg over 20 minutes))
Calcium Gluconate 10%
ml (0.5 ml/kg)
Paraldehyde PR
ml (0.8 ml/kg readymixed)
3% or 2.7% Saline
ml (5ml/kg)
Mannitol 10%
ml (5ml/kg, eqivalent to 0.5g/kg)
Cardiovascular
Cardioversion (sync)
Joules (1J/kg) (use 2J/kg if fails)
Shockable rhythm (async)
Joules (4J/kg)
Adenosine
to
Anaesthesia
mcg (100 -500 mcg/kg)
Ketamine
to
mg (1-2mg/kg)
Amiodarone Load
mg (5 mg/kg over 30 minutes to 4hrs)
Thiopentone
to
mg (1-5mg/kg)
Tranexamic Acid
mg (15 mg/kg)
Rocuronium
mg (1mg/kg)
Atracurium
mg (0.5mg/kg)
Pancuronium
mg (0.1mg/kg)
Suxamethonium
mg (1.5mg/kg)
Respiratory
Magnesium Sulphate
mg (40 mg/kg over 20 minutes)
Salbutamol load
mcg (15 mcg/kg over 10 minutes)
Hydrocortisone
mg (4 mg/kg , max 100mg)
Aminophylline load
mg (5 mg/kg over 20 minutes)
Adrenaline IM
ml of 1:1000
Adrenaline 1:1000
Nebulised
ml (0.5 ml/kg, max 5 mls)
Make up to 5 ml with saline
Chlorphenamine
mg
Infusions
Anaphylaxis
Calculations based on Southampton PICU infusions guidelines (2014)
Dopamine (central)
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 2 - 10mcg/kg/min)
Dopamine (peripheral)
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 2 - 10mcg/kg/min)
Adrenaline
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 0.1 - 1mcg/kg/min)
Noradrenaline
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 0.1 - 1mcg/kg/min)
Milrinone
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 0.375 - 0.75 mcg/kg/min)
Argipressin (Vasopressin)
units in
ml / hr =
units/kg/hr
= 0.01-0.12 unis/kg/hr)
Amiodarone
mg in 50ml of 5% Glucose
ml / hr =
mcg/kg/min
= 5-15 mcg/kg/min)
Dinoprostone (Prostin E2)
mcg in 50ml of 0.9% Saline
ml / hr =
ng/kg/min
= 5 - 50 ng/kg/min)
Morphine
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/hr
= 10 - 50 mcg/kg/hr)
Midazolam
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/hr
= 10 - 200 mcg/kg/hr)
Salbutamol
mg in 50ml of 0.9% Saline or 5% Glucose
ml / hr =
mcg/kg/min
= 0.5 - 5 mcg/kg/min)
Aminophylline
mg in
ml / hr =
mg/kg/hr
= 0.5 - 1 mg/kg/hr)
ml of 0.9% Saline or 5% Glucose
ml of 0.9% Saline or 5% Glucose
It is the prescribers responsibility to ensure the correct dose is prescribed
Updated Tom Bennett - Jan 2016